MEDICARE: MEGAN N YANK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207P00000X	Emergency Medicine Physician	83774-20	WI

General Provider Information

NPI Number	:	1043953292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN N YANK

Provider Business Mailing Address
First Line	:	3513 CROSS HILL DR APT 118
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53718-8706
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3513 CROSS HILL DR APT 118
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53718-8706
Country	:	US
Telephone Number	:	402-320-8439
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2022
Last Update Date	:	06/16/2026

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Directions to “ MEGAN N YANK ” Practice Location

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